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Individual

DR. JACLYN CHUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3440 MARKET ST STE 200, PHILADELPHIA, PA 19104-3336
(267) 426-9799
Mailing address
1363 N 31ST ST APT 302, PHILADELPHIA, PA 19121-4562
(862) 242-9282

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
OS019975
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/19/2015
Last updated
07/22/2020
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